000162584 001__ 162584
000162584 005__ 20251017144620.0
000162584 0247_ $$2doi$$a10.1093/ejcts/ezac081
000162584 0248_ $$2sideral$$a145069
000162584 037__ $$aART-2022-145069
000162584 041__ $$aeng
000162584 100__ $$aPons, Aina
000162584 245__ $$aNational evaluation of risk factors for unplanned readmission after lung resection
000162584 260__ $$c2022
000162584 5060_ $$aAccess copy available to the general public$$fUnrestricted
000162584 5203_ $$aOBJECTIVES: Unplanned readmission is defined as the return to inpatient hospitalization within 30 days after discharge. Worldwide, its incidence after lung resection ranges between 8% and 50%, and it has been shown to impact both patient recovery and healthcare resources. Our goal was to identify the risk factors to prioritize early follow-ups.
METHODS: We analysed data from the database of the Grupo Español de Cirugía Torácica Video-Asistida from 33 thoracic surgery departments over 15 months. Standard tests were used to compare the different risk groups. Our goal was to present the most relevant explanatory variables for readmission.
RESULTS: A total of 174 of 2808 patients (6%) underwent unplanned readmission after a lobectomy. Of all the preoperative individual characteristics, only lung function was found to be a risk factor for readmission [forced expiratory volume in 1 s < 80%, risk ratio (RR) 1.78, P < 0.001; diffusing capacity of carbon monoxide <60%, RR 1.6, P = 0.02; and VO2 < 20 ml/kg/min, RR 1.59, P = 0.02]. The tumour’s characteristics and the stage of the disease did not have an influence on the readmission rates. In the readmitted cohort, an open approach or thoracotomy was associated with more frequent readmissions (RR 1.77; P < 0.001). Strong adhesions (RR 1.81; P < 0.001) or adhesions occupying more than half of the hemithorax (RR 1.73, P < 0.001) were also found to be risk factors for readmission and for longer operative times. A length of stay of >10 days after a lobectomy was found to be a risk factor for readmission (RR 1.9).
CONCLUSIONS: We identified preoperative, intraoperative and postoperative risk factors for readmission. This information can be a useful tool to help with the prioritization of early follow-ups, especially in centres with high workloads.
000162584 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000162584 590__ $$a3.4$$b2022
000162584 591__ $$aSURGERY$$b39 / 213 = 0.183$$c2022$$dQ1$$eT1
000162584 591__ $$aCARDIAC & CARDIOVASCULAR SYSTEMS$$b63 / 143 = 0.441$$c2022$$dQ2$$eT2
000162584 591__ $$aRESPIRATORY SYSTEM$$b33 / 66 = 0.5$$c2022$$dQ2$$eT2
000162584 592__ $$a1.183$$b2022
000162584 593__ $$aCardiology and Cardiovascular Medicine$$c2022$$dQ1
000162584 593__ $$aSurgery$$c2022$$dQ1
000162584 593__ $$aPulmonary and Respiratory Medicine$$c2022$$dQ1
000162584 593__ $$aMedicine (miscellaneous)$$c2022$$dQ1
000162584 594__ $$a5.7$$b2022
000162584 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000162584 700__ $$aGuirao, Ángela
000162584 700__ $$aFibla, Juan J
000162584 700__ $$aCarvajal, Carlos
000162584 700__ $$0(orcid)0000-0003-0249-3104$$aEmbun, Raúl$$uUniversidad de Zaragoza
000162584 700__ $$aSánchez, David
000162584 700__ $$aGEVATS
000162584 700__ $$aHernández, Jorge
000162584 7102_ $$11013$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Cirugía
000162584 773__ $$g61, 6 (2022), 1251-1257$$pEur. j. cardio-thorac. surg.$$tEUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY$$x1010-7940
000162584 8564_ $$s1104989$$uhttps://zaguan.unizar.es/record/162584/files/texto_completo.pdf$$yVersión publicada
000162584 8564_ $$s1767326$$uhttps://zaguan.unizar.es/record/162584/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000162584 909CO $$ooai:zaguan.unizar.es:162584$$particulos$$pdriver
000162584 951__ $$a2025-10-17-14:21:32
000162584 980__ $$aARTICLE